Risk of Pleural Recurrence After Needle Biopsy in Patients With Resected Early Stage Lung Cancer
Concerning the complications resulting from percutaneous needle biopsy (PNB), although cases of tumor seeding into the needle track have occasionally been reported, there were only two cases of pleural recurrences to date. The aim of this study was to elucidate the real risk of pleural recurrence af...
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| Veröffentlicht in: | The Annals of thoracic surgery 2005-12, Vol.80 (6), p.2026-2031 |
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| creator | Matsuguma, Haruhisa Nakahara, Rie Kondo, Tetsuro Kamiyama, Yukari Mori, Kiyoshi Yokoi, Kohei |
| description | Concerning the complications resulting from percutaneous needle biopsy (PNB), although cases of tumor seeding into the needle track have occasionally been reported, there were only two cases of pleural recurrences to date. The aim of this study was to elucidate the real risk of pleural recurrence after needle biopsy in patients with resected early stage lung cancer.
Between 1986 and 2000, 335 patients with stage I nonsmall cell lung cancer underwent complete resection of the lung tumor. We retrospectively reviewed their medical records and investigated the relationship between the diagnostic methods used and the cancer recurrence patterns.
Preoperative diagnoses were obtained for 290 patients; 220 were diagnosed by bronchoscopy and 66 by PNB. Among the patients without a preoperative diagnosis, 27 were diagnosed by intraoperative needle biopsy and 14 by wedge resection of the lung. Tumors diagnosed by needle biopsy including PNB and intraoperative needle biopsy were smaller and showed less vessel invasion than those diagnosed by other methods (
p < 0.01). After surgical resection, 9 patients had pleural recurrence and 1 patient, needle track implantation. Seven of these 10 patients were diagnosed by needle biopsy using 18G cutting type needle. Pleural recurrence or needle track implantation was observed for 8.6% of the patients who underwent a needle biopsy, whereas it was 0.9% for patients who were examined using other diagnostic modalities (
p = 0.0009).
Needle biopsy especially using a cutting-type biopsy needle can cause a pleural recurrence in addition to needle track implantation. |
| doi_str_mv | 10.1016/j.athoracsur.2005.06.074 |
| format | Article |
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Between 1986 and 2000, 335 patients with stage I nonsmall cell lung cancer underwent complete resection of the lung tumor. We retrospectively reviewed their medical records and investigated the relationship between the diagnostic methods used and the cancer recurrence patterns.
Preoperative diagnoses were obtained for 290 patients; 220 were diagnosed by bronchoscopy and 66 by PNB. Among the patients without a preoperative diagnosis, 27 were diagnosed by intraoperative needle biopsy and 14 by wedge resection of the lung. Tumors diagnosed by needle biopsy including PNB and intraoperative needle biopsy were smaller and showed less vessel invasion than those diagnosed by other methods (
p < 0.01). After surgical resection, 9 patients had pleural recurrence and 1 patient, needle track implantation. Seven of these 10 patients were diagnosed by needle biopsy using 18G cutting type needle. Pleural recurrence or needle track implantation was observed for 8.6% of the patients who underwent a needle biopsy, whereas it was 0.9% for patients who were examined using other diagnostic modalities (
p = 0.0009).
Needle biopsy especially using a cutting-type biopsy needle can cause a pleural recurrence in addition to needle track implantation.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2005.06.074</identifier><identifier>PMID: 16305838</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biopsy, Needle - adverse effects ; Carcinoma, Non-Small-Cell Lung - epidemiology ; Carcinoma, Non-Small-Cell Lung - secondary ; Carcinoma, Non-Small-Cell Lung - surgery ; Female ; Humans ; Lung Neoplasms - epidemiology ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Middle Aged ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Seeding ; Neoplasm Staging ; Pleural Neoplasms - epidemiology ; Pleural Neoplasms - secondary ; Pneumology ; Retrospective Studies ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Tumors of the respiratory system and mediastinum</subject><ispartof>The Annals of thoracic surgery, 2005-12, Vol.80 (6), p.2026-2031</ispartof><rights>2005 The Society of Thoracic Surgeons</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-64628012b2d11e3fe5ec04892cfeab0b66e36d2a59aba84ebcf5a36900659fed3</citedby><cites>FETCH-LOGICAL-c353t-64628012b2d11e3fe5ec04892cfeab0b66e36d2a59aba84ebcf5a36900659fed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.athoracsur.2005.06.074$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17340118$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16305838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuguma, Haruhisa</creatorcontrib><creatorcontrib>Nakahara, Rie</creatorcontrib><creatorcontrib>Kondo, Tetsuro</creatorcontrib><creatorcontrib>Kamiyama, Yukari</creatorcontrib><creatorcontrib>Mori, Kiyoshi</creatorcontrib><creatorcontrib>Yokoi, Kohei</creatorcontrib><title>Risk of Pleural Recurrence After Needle Biopsy in Patients With Resected Early Stage Lung Cancer</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Concerning the complications resulting from percutaneous needle biopsy (PNB), although cases of tumor seeding into the needle track have occasionally been reported, there were only two cases of pleural recurrences to date. The aim of this study was to elucidate the real risk of pleural recurrence after needle biopsy in patients with resected early stage lung cancer.
Between 1986 and 2000, 335 patients with stage I nonsmall cell lung cancer underwent complete resection of the lung tumor. We retrospectively reviewed their medical records and investigated the relationship between the diagnostic methods used and the cancer recurrence patterns.
Preoperative diagnoses were obtained for 290 patients; 220 were diagnosed by bronchoscopy and 66 by PNB. Among the patients without a preoperative diagnosis, 27 were diagnosed by intraoperative needle biopsy and 14 by wedge resection of the lung. Tumors diagnosed by needle biopsy including PNB and intraoperative needle biopsy were smaller and showed less vessel invasion than those diagnosed by other methods (
p < 0.01). After surgical resection, 9 patients had pleural recurrence and 1 patient, needle track implantation. Seven of these 10 patients were diagnosed by needle biopsy using 18G cutting type needle. Pleural recurrence or needle track implantation was observed for 8.6% of the patients who underwent a needle biopsy, whereas it was 0.9% for patients who were examined using other diagnostic modalities (
p = 0.0009).
Needle biopsy especially using a cutting-type biopsy needle can cause a pleural recurrence in addition to needle track implantation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - adverse effects</subject><subject>Carcinoma, Non-Small-Cell Lung - epidemiology</subject><subject>Carcinoma, Non-Small-Cell Lung - secondary</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - epidemiology</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Seeding</subject><subject>Neoplasm Staging</subject><subject>Pleural Neoplasms - epidemiology</subject><subject>Pleural Neoplasms - secondary</subject><subject>Pneumology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFOGzEQhi3UCgLlFZAv7W2Xsb12do8Q0YIUtYi26tH1esfgdLMbbG-lvD2OEilHTqPRfP_M6COEMigZMHW9Kk16GYOxcQolB5AlqBLm1QmZMSl5obhsPpAZAIiiaubyjJzHuMotz-NTcsaUAFmLekb-Pvn4j46OPvY4BdPTJ7RTCDhYpDcuYaDfEbse6a0fN3FL_UAfTfI4pEj_-PSS-Yg2YUfvTOi39Gcyz0iX0_BMFyYvCZ_IR2f6iJeHekF-f737tbgvlj--PSxuloUVUqRCVYrXwHjLO8ZQOJRooaobbh2aFlqlUKiOG9mY1tQVttZJI1QDoGTjsBMX5Mt-7yaMrxPGpNc-Wux7M-A4Ra3qmnPV8AzWe9CGMcaATm-CX5uw1Qz0zq5e6aNdvbOrQelsN0evDjemdo3dMXjQmYHPB8BEa3oXsgIfj9xcVMDYjrvdc5iN_PcYdLR-57zzIdvU3ejf_-YNZgid6Q</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Matsuguma, Haruhisa</creator><creator>Nakahara, Rie</creator><creator>Kondo, Tetsuro</creator><creator>Kamiyama, Yukari</creator><creator>Mori, Kiyoshi</creator><creator>Yokoi, Kohei</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Risk of Pleural Recurrence After Needle Biopsy in Patients With Resected Early Stage Lung Cancer</title><author>Matsuguma, Haruhisa ; Nakahara, Rie ; Kondo, Tetsuro ; Kamiyama, Yukari ; Mori, Kiyoshi ; Yokoi, Kohei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-64628012b2d11e3fe5ec04892cfeab0b66e36d2a59aba84ebcf5a36900659fed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle - adverse effects</topic><topic>Carcinoma, Non-Small-Cell Lung - epidemiology</topic><topic>Carcinoma, Non-Small-Cell Lung - secondary</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - epidemiology</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Neoplasm Seeding</topic><topic>Neoplasm Staging</topic><topic>Pleural Neoplasms - epidemiology</topic><topic>Pleural Neoplasms - secondary</topic><topic>Pneumology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsuguma, Haruhisa</creatorcontrib><creatorcontrib>Nakahara, Rie</creatorcontrib><creatorcontrib>Kondo, Tetsuro</creatorcontrib><creatorcontrib>Kamiyama, Yukari</creatorcontrib><creatorcontrib>Mori, Kiyoshi</creatorcontrib><creatorcontrib>Yokoi, Kohei</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuguma, Haruhisa</au><au>Nakahara, Rie</au><au>Kondo, Tetsuro</au><au>Kamiyama, Yukari</au><au>Mori, Kiyoshi</au><au>Yokoi, Kohei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of Pleural Recurrence After Needle Biopsy in Patients With Resected Early Stage Lung Cancer</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2005-12</date><risdate>2005</risdate><volume>80</volume><issue>6</issue><spage>2026</spage><epage>2031</epage><pages>2026-2031</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Concerning the complications resulting from percutaneous needle biopsy (PNB), although cases of tumor seeding into the needle track have occasionally been reported, there were only two cases of pleural recurrences to date. The aim of this study was to elucidate the real risk of pleural recurrence after needle biopsy in patients with resected early stage lung cancer.
Between 1986 and 2000, 335 patients with stage I nonsmall cell lung cancer underwent complete resection of the lung tumor. We retrospectively reviewed their medical records and investigated the relationship between the diagnostic methods used and the cancer recurrence patterns.
Preoperative diagnoses were obtained for 290 patients; 220 were diagnosed by bronchoscopy and 66 by PNB. Among the patients without a preoperative diagnosis, 27 were diagnosed by intraoperative needle biopsy and 14 by wedge resection of the lung. Tumors diagnosed by needle biopsy including PNB and intraoperative needle biopsy were smaller and showed less vessel invasion than those diagnosed by other methods (
p < 0.01). After surgical resection, 9 patients had pleural recurrence and 1 patient, needle track implantation. Seven of these 10 patients were diagnosed by needle biopsy using 18G cutting type needle. Pleural recurrence or needle track implantation was observed for 8.6% of the patients who underwent a needle biopsy, whereas it was 0.9% for patients who were examined using other diagnostic modalities (
p = 0.0009).
Needle biopsy especially using a cutting-type biopsy needle can cause a pleural recurrence in addition to needle track implantation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16305838</pmid><doi>10.1016/j.athoracsur.2005.06.074</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Biopsy, Needle - adverse effects Carcinoma, Non-Small-Cell Lung - epidemiology Carcinoma, Non-Small-Cell Lung - secondary Carcinoma, Non-Small-Cell Lung - surgery Female Humans Lung Neoplasms - epidemiology Lung Neoplasms - pathology Lung Neoplasms - surgery Male Medical sciences Middle Aged Neoplasm Recurrence, Local - epidemiology Neoplasm Seeding Neoplasm Staging Pleural Neoplasms - epidemiology Pleural Neoplasms - secondary Pneumology Retrospective Studies Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Tumors of the respiratory system and mediastinum |
| title | Risk of Pleural Recurrence After Needle Biopsy in Patients With Resected Early Stage Lung Cancer |
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